Helpful Forms

If you're a new client, please complete the following forms and bring them to your first session.

    • Client Intake Form
    • Limits of Confidentiality/Cancellation Policy Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

    • Consent to Release Information Form

 

Client Intake Form  
Confidentiality and Cancellation Policy  
Consent to Release  

Note: To download Adobe Acrobat Reader for free, click here .


Helpful Forms

Click here to view and print forms for your appointment.

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Jane Maguire, LMHC, CAP
(727) 531-7988
1101 Belcher Rd. S
Suite J
Largo, Fl  33771
(727) 531-7988
[email protected]